Healthcare Provider Details

I. General information

NPI: 1902591324
Provider Name (Legal Business Name): NAZARENA ROJAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 1ST AVE
OCALA FL
34471-6516
US

IV. Provider business mailing address

454 SOLEDAD ST
SAN ANTONIO TX
78205-1554
US

V. Phone/Fax

Practice location:
  • Phone: 732-557-2604
  • Fax:
Mailing address:
  • Phone: 239-200-7101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME181550
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: